Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.15 / $9.15 / $16.11	Facility	26	$9.15	$9.15	$16.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $35.43 / $70.20	Professional		$32.11	$35.43	$70.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.15 / $9.98 / $19.39	Professional	26	$9.15	$9.98	$19.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $25.37 / $49.39	Professional	TC	$22.62	$25.37	$49.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $38.09 / $62.00	Professional		$29.18	$38.09	$62.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.03 / $11.58 / $18.03	Professional	26	$8.03	$11.58	$18.03
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $35.52 / $45.41 / $45.41	Professional	TC	$35.52	$45.41	$45.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $48.00 / $85.38	Professional		$35.43	$48.00	$85.38
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.07 / $19.00 / $32.94	Professional	26	$10.07	$19.00	$32.94
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.37 / $30.53 / $56.05	Professional	TC	$25.37	$30.53	$56.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $45.88 / $80.81	Professional		$34.06	$45.88	$80.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $14.66 / $25.81	Professional	26	$10.30	$14.66	$25.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.10 / $34.00 / $55.01	Professional	TC	$25.10	$34.00	$55.01
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $15.93 / $19.00 / $32.49	Facility	26	$15.93	$19.00	$32.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $140.10 / $140.10	Professional		$140.10	$140.10	$140.10
Medcost Facility/Professional Professional Modifier TC Low / Median / High Price $100.32 / $100.32 / $100.32	Professional	TC	$100.32	$100.32	$100.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $44.90 / $73.54	Professional		$33.01	$44.90	$73.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.28 / $14.30 / $26.21	Professional	26	$10.28	$14.30	$26.21
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.73 / $31.13 / $50.72	Professional	TC	$22.73	$31.13	$50.72